6/4/2014 DSM 5. Webinars. Organization of the Manual

Size: px
Start display at page:

Download "6/4/2014 DSM 5. Webinars. Organization of the Manual"

Transcription

1 DSM 5 WEBINAR PART 1 CBHA AND MARY THORNTON & ASSOCIATES, INC. Webinars General info on DSM and up through Bipolar Depressive Disorders through? Remaining plus (if time allows) new assessment tools, coding strategy. OASAS: DSM IV or 5 but mandatory DSM 5 January 2015 OMH: ICD 9; CAIRS, NIMRS will be able to use either starting late June Organization of the Manual Section 1: history and development of DSM 5 Section 2: criteria sets for the 19 major classifications also included in this section are the V and Z codes (medication induced movement d/orders and other conditions that t may be a focus of clinical i l attention) ti Section 3: assessment measures, a cultural formulation, an alternative DSM 5 model for personality d/orders, conditions for further study Appendices: cross walks to ICD 9 and ICD 10. Organized alpha and numerical 1

2 The Name and Other Changes DSM V no DSM 5: allows for continual updates which allows for the very rapid scientific advances being made so expect a 5.1, 5.2, etc. Goal was to move away from strict categorical structure and to incorporate dimensional measures to allow the clinician to better assess severity of symptoms (not just check yes or no) and to better measure outcomes. In DSM 5 there was an attempt to integrate some of these dimensional measures in order to support greater specificity in treatment decisions and evaluation of outcomes. The Name and Other Changes Dimensional measures were incorporated in some categories: Intellectual developmental disorder not simply an IQ measure but also now includes a dimensional assessment of adaptive functioning Merging gof substance abuse and dependence into one category of use with a scale of severity mild to severe Personality d/order work not accepted but described in Section 3 Optional dimensional measures: Chapter 3 of DSM including e.g. Clinician Rated Dimensions of Psychosis Symptom Severity Although incorporating dimensional measures DSM 5 still retains a primarily categorical approach. Organization Reorganization of the 19 major diagnostic classes Developmental life span begins with mental disorders usually diagnosed in infancy/early child In all categories diagnoses most associated with children are listed first Also an attempt to order according to those that are often or appear to be considered related. E.g. bipolar after schizophrenia; dissociative d/order in between trauma and somatic symptom 2

3 Use Its big Memorize some that you use most, use the pocket guide, and refer back often Meeting diagnostic criteria is becoming increasingly important with the advent of chronic health homes, outcome and risk based pricing, etc. Payers understand that many psychiatric disorders have characteristic courses and expected outcomes they will watch for these. Definition of Mental Disorder a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological or development processes underlying mental functioning. Mental disorders are usually associated with significant distress or disability in social, occupational, or other important activities. An expectable or culturally approved response to a common stressor or loss, such as the death of a loved one, is not a mental disorder. Socially deviant behavior and conflicts that are primarily between the individual and society are not mental disorders unless the deviance or conflict results from a dysfunction in the individual. Definition of Mental Disorder A diagnosis does not mean treatment is needed. Critical to medical necessity is the severity of symptoms, the subjective distress and the functional impact and sometimes other issues like the impact of the disorder on a medical condition. 3

4 Recording the Diagnosis DSM 5: there is a difference between principal DX and reason for visit. Critical when there are multiple diagnoses always list first reason for visit, if different from principle DX, and then other DX in descending order of importance. If the mental disorder is due to a medical condition, it must be listed first. This is true for both ICD 9 and 10. Provisional may be listed if there is diagnostic uncertainty but needs diligent attention Coding the Diagnosis DSM 5 and ICD 9 march in lock-step ( sort of) There is an ICD 9 code for each DSM however some diagnoses may use the same code because a more specific code not available. Orgs need to figure out how to manage this issue e.g. full narrative description in assessment? ICD 9 is a 3 to 5 digit number ICD 10 codes are listed parenthetically next to the ICD 9 code. DSM 5 used the ICD 9 code that most specifically matched the DSM diagnosis. See handout Coding the Diagnosis Some diagnoses have a 3 digit code, but most have 4 or 5 for greater specificity Follow guidelines in DSM where there are blanks in the code that must be filled in by the provider Sub-types and specifiers: Sub-types: mutually exclusive so instruction reads specify whether e.g. delusional disorder sub-typed based on content of delusion Specifiers: specify or specify if instruction to indicate provider should add additional information Some but not most ICD 9 codes (5 th digit) allow for the subtypes and specifiers provider must add after DX in narrative form 4

5 Coding the Diagnosis Diagnostic uncertainty: usually not billable V or Z codes which are usually not covered by themselves there are some exceptions unspecified mental disorder unspecified schizophrenia spectrum or other psychotic disorder Narrative e.g. provisional; explanation Coding the Diagnosis Other specified or unspecified Other specified: allows clinician to give reason why does not meet criteria in narrative with further versions of ICD will have ability to be specific through coding in some cases If not specified use unspecified diagnosis; use also when not sufficient information to make a more specific DX payers are beginning to watch these. Bye Bye Multi-Axial First found in DSM III but argued about ever since Axis II sometimes targeted for non-payment Axis III overlooked in developing plans of care (real problem with advent of aging population; chronic illness models; impact of meds on development of medical illness and vice versa) Axis IV socio-economic impact on severity and outcomes (never changes;? Real impact on course of illness) Axis V combo of both risk and functionality in a single number (arbitrary and inaccurate) 5

6 Bye Bye Multi-Axial Axis IV: use the V and Z codes located in ICD 9 and 10 located in Section 2 of DSM Axis V: WHODAS multiple versions functional assessment. Most providers already doing a risk assessment in body of assessment. WHODAS is not required but interesting the spotlight it now puts on functional assessment of the individual. WHODAS asks in areas not always seen in biopsychosocial assessment Changes in Neurodevelopmental D/orders Revamp of former chapter Disorders Usually First Diagnoses in Infancy, Childhood, or Adolescence First chapter according to new organization of DSM Mental retardation term gone. Replaced by intellectual disability or intellectual developmental disorder. Changes in Neurodevelopmental D/orders Intellectual Disabilities Communication Disorders Autism Spectrum Disorders Attention-deficit Hyperactivity Disorder Specific Learning Disorder Motor Disorders Other Specified Neurodevelopmental Disorder Unspecified Neurodevelopmental Disorder 319 (F70, F71, F72, F73) (F80.9, 80.0, F80.81) (F84.0) , (F90.0, 90.1, 90.2) , 315.1, (F81.0) 315.4, 307.xx (F82), (F98.4) (F88) (F89) 6

7 Changes in Neurodevelopmental D/orders Includes: Intellectual disabilities Communication disorders Autism Spectrum disorder Attention-deficit/Hyperactivity disorder Specific learning disorder Motor disorders Other neurodevelopmental disorders Intellectual Intellectual disability (Intellectual developmental disorder ICD 11 term) Despite name change and greater recognition of its multi-domain impact, still considered to be a mental disorder No longer a reliance on IQ as sole determinant of diagnosis or severity recognizes that the impairment in general mental abilities has an impact on adaptive functioning Adaptive functioning which can take into account social, conceptual/intellectual, and practical functioning is determinant of severity and need for external supports Specifiers for severity organized by domain: Conceptual : intellectual functioning Social: social and communicative behavior Practical: personal needs (including legal and health decisions, raising a family), independent employment, recreational - as move up scale level of supports needed, intensity, and length of time supports needed. Subtypes same: Mild, Moderate, Severe, Profound Communication Communication Disorders: deficits in language, speech and communication Language d/o: combines DSM expressive and mixed receptiveexpressive language d/o Speech/sound d/o former DSM IV phonological disorder Speech/sound d/o former DSM IV phonological disorder Child-onset fluency d/o former stuttering Social (pragmatic) communication d/o New for persistent difficulties in both verbal and non-verbal communication Note: this cannot be diagnosed if child also exhibits the restricted, repetitive behaviors, interests, and activities associated with autism spectrum d/o (see next slide) Maybe some individuals currently diagnosed with PDD? 7

8 Autism Autism Spectrum Disorder consensus that formerly four separate d/orders are actually a single condition with different levels of severity of symptoms in: Social communication and interactions Restricted, repetitive behaviors, interests, and activities (RBBs) Must have symptoms in both core areas Criterion A and B Autism Combines: autistic disorder, Asperger s disorder, pervasive developmental disorder, childhood disintegrative disorder. Specify level: DSM chart (pg 52) for Criterion A & B Level 3: requires very substantial support Level 2: requires substantial support Level 1: requires support Autism Specify if: w/wo intellectual impairment, language impairment; association with known genetic, environment, or medical factor; association with another neurobehavioral d/order; with catatonia Note for medical, environmental or genetic factors may require another code and may need to be coded first 8

9 Autism Criterion C and D: C: early onset which may have been masked by supports D: symptoms cause significant impairment in social, occupational, other functioning E: not better explained by another diagnosis ADHD Added to this chapter to reflect ADHD relationship to brain development Similar to DSM IV same 18 symptoms and same divide into categories of: inattention and impulsivity/hyperactivity 6 needed for children 5 needed for adults and adolescents 17 years + New examples added to assist with diagnosing across age ranges Cross-situational requirement strengthened to several in two or more settings e.g. home, school, work, friends, etc ADHD Onset criterion changed: Before: symptoms causing impairment before age 7 NOW: several present prior to age 12 Use specifiers that map to original sub-types (each with a different code) now describe the current presentation rather than a sub-type Combined: both A &B met for prior 6 mos Predominately inattentive: A but not B prior 6 mos Predominately hyperactive/impulsive: B but not A prior 6 mos Co-morbid diagnosis with Autism SD allowed 9

10 ADHD NO NOS: Other specified: do not meet criteria at this time; used when clinician wants to communicate reason why doesn t meet e.g. Other specified, with insufficient inattention symptoms Unspecified: doe not meet criteria but specific reason not specified or where there is insufficient information to make a more specific diagnosis These conventions hold true in other diagnostic categories Note there must be an accompanying clinically significant distress or impact on functioning Changes in Neurodevelopmental D/orders Specific Learning D/O Combines DSM IV s reading, mathematics, disorder of written expression, and learning d/order NOS Reflected concern that 3 separate distinct dx not justified Subtypes for reading, written expression and math separately coded Recognition that often not just one Specify current severity: mild, moderate, severe Changes in Neurodevelopmental D/orders Motor Disorders Included are: Developmental coordination disorder Stereotypic movement disorder Tourette s disorder Persistent motor or vocal tic disorder Provisional tic disorder Other and unspecified tic disorders Tic criteria standardized across all of these disorders: sudden, rapid, recurrent, non-rhythmic motor movement or vocalization May wax and wane in frequency, but have persisted for more than a year Stereotypic movement disorder: (helps to distinguish between it and body focused repetitive behavior d/orders in OCD Specify with or w/o self-injurious behavior Specify if associated with known medical, environmental or genetic d/order may need to be coded first Specify severity 10

11 Changes in Neurodevelopmental D/orders Other Conduct disorder moved to a new chapter Disruptive, Impulse-Control, and Conduct Disorders Elimination orders have own chapter Feeding disorders, e.g. pica moved to combined chapter with other eating disorders Separation anxiety disorder and selective mutism now in Anxiety Disorder chapter Reactive Attachment Disorder moved to Trauma and Stressor Related Disorders Changes in Schizophrenia Spectrum and Other Psychotic Disorders Schizotypal (Personality) Disorder (F21) Delusional Disorder (F22) Brief Psychotic Disorder (F23) Schizophreniform Disorder (F20.81) Shi Schizophrenia h i (F20.9) Schizoaffective Disorder (bipolar or depressive type) (F25.0, F25.1) Substance/Medication-Induced Psychotic Disorder see substance-specific codes included here but not discussed Psychotic Disorder Due to Another Medical Condition (with delusions or with hallucinations) , (F06.2, F06.0) Changes in Schizophrenia Spectrum and Other Psychotic Disorders Catatonia Associated with Another Mental Disorder (F06.1) Catatonic Disorder Due to Another Medical Condition (F06.1) Unspecified Catatonia (F06 1) Unspecified Catatonia (F06.1) Other Schizophrenia Spectrum and Other Psychotic Disorder (other specified or unspecified) (F28) 11

12 Changes in Schizophrenia Spectrum and Other Psychotic Disorders Generally arranged along a continuum of less to more severe Schizotypal Personality Disorder listed here but discussed in personality disorders Delusional disorder changes: Nonbizzare removed as adjective in Criterion A Somatic subtype edited to ensure those with a delusion regarding a physical defect diagnosed with body dysmorphic disorder now in OCD chapter Changes in Schizophrenia Spectrum and Other Psychotic Disorders For all: Specifiers only after 1 year duration of disorder: First episode, currently in acute episode First episode, currently in partial remission First episode, currently in full remission Multiple l episodes, currently in acute episode Multiple episodes, currently in partial remission Multiple episodes, currently in full remission Specify if with catatonia (use additional code) Specify current severity of delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, negative symptoms, impaired cognition, depression, and mania symptoms Changes in Schizophrenia Spectrum and Other Psychotic Disorders Shared psychotic disorder gone rarely used and usually other diagnoses available Schizophrenia: Special treatment for bizarre delusions and special types of hallucinations gone Instead need two of the other listed symptoms in Criterion A Individual must now have at least one of three core positive symptoms: delusions, hallucinations, and disorganized speech Sub-types eliminated: determination that clinical utility and predictive validity poor no distinct Reponses to treatment or course of illness. Instead dimensional approach to rating severity of core symptoms See Clinician- Rated Dimensions of Psychosis Symptom Severity in Section III. 1-5 scale Schizo-affective disorder changes: Major change in duration of major mood episode concurrent with Criterion A of schizophrenia DSM IV: present for a substantial portion of the total duration of the active and residual periods of the illness DSM V: present for a majority of the total duration of the the active and residual portions of the illness 12

13 Changes in Schizophrenia Spectrum and Other Psychotic Disorders Delusional Disorder: no longer requirement that delusion be non-bizzare In addition to 1 year specifiers - specify type; specify if bizarre content; specify severity ( continuation of DSM IV) New demarcation between delusional and psychotic-types of body dysmorphic disorder in differentials No longer distinguishes i i shared delusional l If shared beliefs but does not meet criteria for delusional d/order then other specified used Catatonia: All require 3 catatonic symptoms out of the 12 listed Criteria described and diagnosed with specifier and separate code: With another mental disorder specifier for another diagnosis Due to another medical condition ( code first medical) separate diagnosis within context of medical condition Unspecified code first note other symptoms involving nervous and musculoskeletal systems Changes to Bipolar and Related Disorders Bipolar I Disorder (F31 series), (F31 series) Bipolar II Disorder (F31.81) Cyclothymic Disorder (F34.0) Substance/Medication-Induced Bipolar and Related Disorder see substance abuse section listed but not discussed here Bipolar Disorder Due to Another Medical Condition (F06.33, F06.34) Other Bipolar and Related Disorder (F31.89) Unspecified Bipolar and Related Disorder (F31.9) Changes to Bipolar and Related Disorders Mood disorders divided into bipolar and related disorders and depressive disorders with each in its own chapter Concern re: earlier detection New emphasis on changes in activity and energy and not just mood increase in goal directed d activity it or psychomotor agitation ti Criteria for Bipolar I, most recent episode mixed have been dropped and a specifier of with mixed features can be applied to episodes of mania or hypomania when depressive features present or alternatively for episodes of depression when features of mania/hypomania present 13

14 Changes to Bipolar and Related Disorders Other specified bipolar and related disorder: examples include Short duration hypomanic episodes and major depressive episodes Hypomanic episode without prior major depressive episode Specifiers for Bipolar and related disorders: Anxious distress specifier: DSM notes that anxiety has been reported as a prominent finding in many mental health settings. As such it is associated with higher suicide risk, non or longer response to Rx. Important to identify. Changes to Bipolar and Related Disorders Specifiers for Bipolar and related disorders: Anxious distress specifier: 2 out of 5 listed symptoms during majority of days of current episode. Specify in addition severity: mild, moderate, moderate-severe, severe E.g. severe 4 of 5 symptoms with motor agitation Mixed features replaces sub-type and can be applied to either bi-polar I or II Specify type Specify if in partial or full remission Specify severity: based on number of symptoms, severity of symptoms, and the degree of functional disability Thank You NEXT SESSION: PART 2 JUNE :30 AM 14

DSM-5 to ICD-9 Crosswalk for Psychiatric Disorders

DSM-5 to ICD-9 Crosswalk for Psychiatric Disorders DSM-5 to ICD-9 Crosswalk for Psychiatric s The crosswalk found on the pages below contains codes or descriptions that have changed in the DSM-5 from the DSM-IV TR. DSM-5 to ICD-9 crosswalk is available

More information

DSM-5. Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D.

DSM-5. Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D. DSM-5 Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D. Introduction Lifespan approach to diagnosis Diagnoses occurring in children

More information

Crosswalk to DSM-IV-TR

Crosswalk to DSM-IV-TR Crosswalk to DSM-IV-TR Note: This Crosswalk includes only those codes most frequently found on existing CDERs. It does not include all of the codes listed in the DSM-IV-TR nor does it include all codes

More information

Washington State Regional Support Network (RSN)

Washington State Regional Support Network (RSN) Access to Care Standards 11/25/03 Eligibility Requirements for Authorization of Services for Medicaid Adults & Medicaid Older Adults Please note: The following standards reflect the most restrictive authorization

More information

ICD-9/DSM IV TO ICD-10 CROSSWALK TABLE

ICD-9/DSM IV TO ICD-10 CROSSWALK TABLE ICD-9/DSM IV TO ICD-10 CROSSWALK TABLE DIAGNOSIS MEETS OUTPATIENT "MEDICAL NECESSITY" CRITERIA ICD-9 DSM IV Description ICD-10 ICD-10 Description PSYCHOTIC DISORDERS 295.30 Schizophrenia, Paranoid Type

More information

Specialty Mental Health Services OUTPATIENT TABLE

Specialty Mental Health Services OUTPATIENT TABLE Specialty Mental Health Services Enclosure 3 295.10 Schizophrenia, Disorganized Type F20.1 Disorganized schizophrenia 295.20 Schizophrenia, Catatonic Type F20.2 Catatonic schizophrenia 295.30 Schizophrenia,

More information

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES Part I- Mental Health Covered Diagnoses 295-298.9 295 Schizophrenic s (the following fifth-digit sub-classification is for use with category 295) 0 unspecified

More information

IL DHS/DMH DSM 5 Diagnoses Effective 10-1-2015 Target Population: Serious Mental Illness (SMI) for DHS/DMH funded MH services

IL DHS/DMH DSM 5 Diagnoses Effective 10-1-2015 Target Population: Serious Mental Illness (SMI) for DHS/DMH funded MH services IL DHS/DMH DSM 5 Diagnoses Effective 10-1-2015 Target Population: Serious Mental Illness (SMI) for DHS/DMH funded MH services ICD-10 DSM-V Description F22 Delusional Disorder F23 Brief Psychotic Disorder

More information

Minnesota DC:0-3R Crosswalk to ICD Codes

Minnesota DC:0-3R Crosswalk to ICD Codes Minnesota DC:0-3R Crosswalk to ICD DC 0-3R 0 Post-Traumatic Stress (this diagnosis must be considered first according to the DC:0-3R decision tree) 150 Deprivation/Maltreatment 200 of Affect 2 Prolonged

More information

Mental Health ICD-10 Codes Department of Health and Mental Hygiene

Mental Health ICD-10 Codes Department of Health and Mental Hygiene Mental Health ICD-10 Codes Department of Health and Mental Hygiene (2) For dates of service on or after October 1, 2015: F200 F201 F202 F203 F205 F2081 F2089 F209 F21 F22 F23 F24 F250 F251 F258 F259 F28

More information

DSM-5: A Comprehensive Overview

DSM-5: A Comprehensive Overview 1) The original DSM was published in a) 1942 b) 1952 c) 1962 d) 1972 DSM-5: A Comprehensive Overview 2) The DSM provides all the following EXCEPT a) Guidelines for the treatment of identified disorders

More information

Diagnosis Codes Requiring PASRR Level II_011.22.11.xls

Diagnosis Codes Requiring PASRR Level II_011.22.11.xls 291.0 DELIRIUM TREMENS ALCOHOL WITHDRAWAL DELIRIUM Mental Illness 291.1 ALCOHOL AMNESTIC DISORDEALCOHOL INDUCED PERSISTING AMNESTIC DISORDER Mental Illness 291.2 ALCOHOLIC DEMENTIA NEC ALCOHOL INDUCED

More information

Covered Diagnoses & Crosswalk of DSM-IV Codes to ICD-9-CM Codes

Covered Diagnoses & Crosswalk of DSM-IV Codes to ICD-9-CM Codes Covered Diagnoses & Crosswalk of DSM-IV Codes to ICD-9-CM Codes What is the crosswalk? The crosswalk is a document designed to help you determine which ICD-9-CM diagnosis code corresponds to a particular

More information

DSM IV TR Diagnostic Codes. (In Numeric Order) DSM IV Codes: Through revisions on 10.01.1996 and 10.01.2005. Code Description Code Description

DSM IV TR Diagnostic Codes. (In Numeric Order) DSM IV Codes: Through revisions on 10.01.1996 and 10.01.2005. Code Description Code Description 290.0 Dementia of the Alzheimer's type, with late onset, uncomplicated NO DSM IV TR 290 code / See codes [294.10 294.1x] 290.10A Dementia due to Creutzfeldt Jakob disease NO DSM IV TR 290.10 code / See

More information

Attachment A. Code Beginning Review

Attachment A. Code Beginning Review Attachment A ICD-10-CM Mental Disorders Diagnosis Codes and s Subject to Certification of Admission/Concurrent/Continued Stay Review Based on the Admitting Diagnosis Code This list contains principal diagnosis

More information

Complete List of DSM-IV Codes

Complete List of DSM-IV Codes Complete List of DSM-IV Codes The following 2 tables give basic codes for all DSM-IV diagnoses. Note that the numbers are the least important part of the diagnoses: Additional verbiage, often not stated

More information

Approvable Antipsychotic ICD-9 Diagnoses

Approvable Antipsychotic ICD-9 Diagnoses Page 6 Atypical Antipsychotics Approvable Antipsychotic ICD-9 Diagnoses Approvable ICD-9 Approvable Diagnosis Description Schizophrenic disorders 295.00 Simple Type Schizophrenia, Unspecified State 295.01

More information

CRITERIA CHECKLIST. Serious Mental Illness (SMI)

CRITERIA CHECKLIST. Serious Mental Illness (SMI) Serious Mental Illness (SMI) SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the diagnoses. Adults must meet all of the following five criteria:

More information

Provider Notice 1.13. May 30, 2008. Pre-Authorization 1915(b) Service

Provider Notice 1.13. May 30, 2008. Pre-Authorization 1915(b) Service Provider Notice 1.13 May 30, 2008»» Pre-Authorization 1915(b) Service 1915(b) Attendant Care Services (CPT T1019HE) and 1915(b) Case Conference services (CPT 99366, 99367, 99368) are pre-authorized services

More information

ICD-10 Mental Health Billable Diagnosis Codes in Alphabetical Order by Description

ICD-10 Mental Health Billable Diagnosis Codes in Alphabetical Order by Description Mental Health Billable s in Alphabetical Order by Note: SSIS stores code descriptions up to 100 characters. Actual code description can be longer than 100 characters. F40.241 Acrophobia F43.0 Acute stress

More information

Overview of DSM-5. With a Focus on Adult Disorders. Gordon Clark, MD

Overview of DSM-5. With a Focus on Adult Disorders. Gordon Clark, MD Overview of DSM-5 With a Focus on Adult Disorders Gordon Clark, MD Sources include: 1. DSM-5: An Update D Kupfer & D Regier, ACP Annual Meeting, 2/21-22/13, Kauai 2. Master Course, DSM-5: What You Need

More information

PHENOTYPE PROCESSING METHODS.

PHENOTYPE PROCESSING METHODS. PHENOTYPE PROCESSING METHODS. We first applied exclusionary criteria, recoding diagnosed individuals as phenotype unknown in the presence of: all dementias, amnestic and cognitive disorders; unknown/unspecified

More information

DSM-5 Brief Overview

DSM-5 Brief Overview COURSE TITLE: COURSE CODE: SME: WRITER: DSM-5 Brief Overview REL-DSM5-BO-0 Naju Madra, M.A. Naju Madra, M.A. Course Outline Section 1: Introduction A. Course Contributor B. About This Course C. Learning

More information

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct Description ICD-9-CM Code ICD-10-CM Code Adjustment reaction with adjustment disorder with depressed mood 309.0 F43.21 Adjustment disorder with depressed mood Adjustment disorder with anxiety 309.24 F43.22

More information

prodromal premorbid schizophrenia residual what are the four phases of schizophrenia describe the Prodromal phase of schizophrenia

prodromal premorbid schizophrenia residual what are the four phases of schizophrenia describe the Prodromal phase of schizophrenia what are the four phases of prodromal premorbid residual describe the Prodromal phase of a period of normal functioning describe the Premorbid phase of there are signs and symptoms existing that precede

More information

ICD- 9 Source Description ICD- 10 Source Description

ICD- 9 Source Description ICD- 10 Source Description 291.0 Alcohol withdrawal delirium F10.121 Alcohol abuse with intoxication delirium 291.0 Alcohol withdrawal delirium F10.221 Alcohol dependence with intoxication delirium 291.0 Alcohol withdrawal delirium

More information

AUTISM SPECTRUM DISORDERS

AUTISM SPECTRUM DISORDERS AUTISM SPECTRUM DISORDERS JAGWINDER SANDHU, MD CHILD, ADOLESCENT AND ADULT PSYCHIATRIST 194 N HARRISON STREET PRINCETON, NJ 08540 PH: 609 751 6607 Staff Psychiatrist Carrier clinic Belle Mead NJ What is

More information

Behavioral Health Best Practice Documentation

Behavioral Health Best Practice Documentation Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating

More information

DSM-5: Updates and Implications. Ryan Melton, Ph.D., LPC Portland State University Senior Research Faculty/EASA Clinical Director rymelton@pdx.

DSM-5: Updates and Implications. Ryan Melton, Ph.D., LPC Portland State University Senior Research Faculty/EASA Clinical Director rymelton@pdx. DSM-5: Updates and Implications Ryan Melton, Ph.D., LPC Portland State University Senior Research Faculty/EASA Clinical Director rymelton@pdx.edu Disclosures Dr. Melton has never received any funding or

More information

Phenotype Processing Algorithm

Phenotype Processing Algorithm Phenotype Processing Algorithm 1. Each individual has three associated variables which will be used for diagnostic classification. The variables are SZ, SA, and BS, which correspond to affection status

More information

Behavioral Health Screening Coding Requirements

Behavioral Health Screening Coding Requirements Behavioral Health Screening Coding Requirements The codes to be used to document the receipt of a Behavioral Health (Mental Health and Substance Abuse) Screening are as follows: Option 1: Evaluation and

More information

Schizoaffective disorder

Schizoaffective disorder Schizoaffective disorder Dr.Varunee Mekareeya,M.D.,FRCPsychT Schizoaffective disorder is a psychiatric disorder that affects about 0.5 to 0.8 percent of the population. It is characterized by disordered

More information

Bipolar Disorders. Poll Question

Bipolar Disorders. Poll Question Bipolar Disorders American Counseling Association DSM-V Webinar Series July 10, 2013 Dr. Todd F. Lewis, Ph.D., LPC, NCC The University of North Carolina at Greensboro Poll Question Who are you? Clinical

More information

DSM-5 Do Not Use ICD -10 Codes

DSM-5 Do Not Use ICD -10 Codes DSM-5 Do Not Use ICD -10 Codes There are ICD-10 codes that DSM 5 is not compatible with. This spreadsheet details the ICD-10 codes that are NOT compatible with DSM 5. ICD10_DX_CD ICD10_DX_DESC F03.90 Unspecified

More information

Care Management Scale--Youth Rev. 10/26/07

Care Management Scale--Youth Rev. 10/26/07 Care Management Scale--Youth Rev. 10/26/07 Client Name: ID: Date: _ Person Completing: Chronicity: Client has a qualifying diagnosis (see attached list) Mental Health condition was first documented to

More information

Overview of DSM-5 Changes. Christopher K. Varley, MD

Overview of DSM-5 Changes. Christopher K. Varley, MD Overview of DSM-5 Changes Christopher K. Varley, MD Disclosure to Audience No one involved in the planning or presentation of this activity has any relevant financial relationships with a commercial interest

More information

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders Welcome New Employees Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders After this presentation, you will be able to: Understand the term Serious

More information

DSM-5 Changes in Intellectual Disabilities and Mental Health Disorders. Maria Quintero, Ph.D., FAAIDD MHMRA of Harris County June 2013

DSM-5 Changes in Intellectual Disabilities and Mental Health Disorders. Maria Quintero, Ph.D., FAAIDD MHMRA of Harris County June 2013 DSM-5 Changes in Intellectual Disabilities and Mental Health Disorders Maria Quintero, Ph.D., FAAIDD MHMRA of Harris County June 2013 Disclosure to Participants Requirements for Successful Completion of

More information

Transitioning to ICD-10 Behavioral Health

Transitioning to ICD-10 Behavioral Health Transitioning to ICD-10 Behavioral Health Jeri Leong, R.N., CPC, CPC-H, CPMA Healthcare Coding Consultants of Hawaii LLC 1 Course Objectives Review of new requirements to ICD-10-CM Identify the areas of

More information

Attachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM 1

Attachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM 1 Arizona Department of Health Services/Division of Behavioral Health Services Practice Tool, Working with the Birth to Five Population Attachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM

More information

3/17/2014. Pediatric Bipolar Disorder

3/17/2014. Pediatric Bipolar Disorder Pediatric Bipolar Disorder 1 Highlighted Topics 1. Review the current DSM-5 definition and criteria for bipolar disorder 2. Highlight major historical developments in the scientific understanding of bipolar

More information

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc. CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014 2014 MVP Health Care, Inc. CHAPTER 5 CHAPTER SPECIFIC CATEGORY CODE BLOCKS F01-F09 Mental disorders due to known physiological

More information

DSM-5. Coding Update. American Psychiatric Association. Supplement to Diagnostic and Statistical Manual of Mental disorders, Fifth Edition

DSM-5. Coding Update. American Psychiatric Association. Supplement to Diagnostic and Statistical Manual of Mental disorders, Fifth Edition DSM-5 Coding Update Supplement to Diagnostic and Statistical Manual of Mental disorders, Fifth Edition American Psychiatric Association March 2014 DSM-5 Coding Update Supplement to Diagnostic and Statistical

More information

TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 October 1, 2004

TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 October 1, 2004 TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 041.82 Bacteroides fragilis 070.41 Acute hepatitis C with hepatic coma 070.51 Acute hepatitis C without mention of hepatic coma 250.00 Diabetes mellitus

More information

Unit 4: Personality, Psychological Disorders, and Treatment

Unit 4: Personality, Psychological Disorders, and Treatment Unit 4: Personality, Psychological Disorders, and Treatment Learning Objective 1 (pp. 131-132): Personality, The Trait Approach 1. How do psychologists generally view personality? 2. What is the focus

More information

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally

More information

ENTITLEMENT ELIGIBILITY GUIDELINE

ENTITLEMENT ELIGIBILITY GUIDELINE ENTITLEMENT ELIGIBILITY GUIDELINE BIPOLAR DISORDERS MPC 00608 ICD-9 296.0, 296.1, 296.4, 296.5, 296.6, 296.7, 296.8, 301.13 ICD-10 F30, F31, F34.0 DEFINITION BIPOLAR DISORDERS Bipolar Disorders include:

More information

DSM 5 Opioid Related Disorders. Dr. Phil O Dwyer Oakland University Brookfield Clinics

DSM 5 Opioid Related Disorders. Dr. Phil O Dwyer Oakland University Brookfield Clinics DSM 5 Opioid Related Disorders Dr. Phil O Dwyer Oakland University Brookfield Clinics Cead Mile Failte Opioids A classification of drugs derived from the opium plant. Common opioids: Morphine Heroin Codeine

More information

DSM-5: What Counselors Need to Know. Gary G. Gintner, Ph.D., LPC Louisiana State University Baton Rouge, LA gintner@lsu.edu

DSM-5: What Counselors Need to Know. Gary G. Gintner, Ph.D., LPC Louisiana State University Baton Rouge, LA gintner@lsu.edu DSM-5: What Counselors Need to Know Gary G. Gintner, Ph.D., LPC Louisiana State University Baton Rouge, LA gintner@lsu.edu Disclosures Dr. Gintner has never received any funding or consulting fees from

More information

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Cardwell C Nuckols, PhD cnuckols@elitecorp1.com Cardwell C. Nuckols, PhD www.cnuckols.com SECTION I-BASICS DSM-5 Includes

More information

Marc J. Tassé, PhD Nisonger Center UCEDD The Ohio State University Marc.Tasse@osumc.edu

Marc J. Tassé, PhD Nisonger Center UCEDD The Ohio State University Marc.Tasse@osumc.edu AND ICD-11 11: POSSIBLE IMPLICATIONS FOR INTELLECTUAL DISABILITY AND AUTISM SPECTRUM DISORDER DSM-5: Diagnostic Criteria for Intellectual Disability Marc J. Tassé, PhD UCEDD The Ohio State University Marc.Tasse@osumc.edu

More information

What School Psychologists Need to Know About DSM 5. Disclaimer. Overview. DSM 5 June 12, 2014. This workshop is not designed to train you on how to

What School Psychologists Need to Know About DSM 5. Disclaimer. Overview. DSM 5 June 12, 2014. This workshop is not designed to train you on how to What School Psychologists Need to Know About DSM 5 Stephen E. Brock, Ph.D., NCSP California State University, Sacramento & Shelley Hart, Ph.D., NCSP Johns Hopkins University Disclaimer This workshop is

More information

UCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5. Week 3:Attention Deficit Hyperactivity Disorder

UCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5. Week 3:Attention Deficit Hyperactivity Disorder UCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5 Week 3:Attention Deficit Hyperactivity Disorder ADHD:Epidemiology Point Prevalence 2-18% M:F>= 2:1 ADHD Symptoms Cognitive (attention) Impulsivity

More information

Deconstructing the DSM-5 By Jason H. King

Deconstructing the DSM-5 By Jason H. King Deconstructing the DSM-5 By Jason H. King Assessment and diagnosis of autism spectrum disorder For this month s topic, I am excited to share my recent experience using the fifth edition of the Diagnostic

More information

Documentation Requirements ADHD

Documentation Requirements ADHD Documentation Requirements ADHD Attention Deficit Hyperactivity Disorder (ADHD) is considered a neurobiological disability that interferes with a person s ability to sustain attention, focus on a task

More information

Abnormal Psychology PSY-350-TE

Abnormal Psychology PSY-350-TE Abnormal Psychology PSY-350-TE This TECEP tests the material usually taught in a one-semester course in abnormal psychology. It focuses on the causes of abnormality, the different forms of abnormal behavior,

More information

SCID-I/P (for DSM-IV_TR) Psychotic Mood (JAN 2010) Psychotic Diff C. 1

SCID-I/P (for DSM-IV_TR) Psychotic Mood (JAN 2010) Psychotic Diff C. 1 SCID-I/P (for DSM-IV_TR) Psychotic Mood (JAN 2010) Psychotic Diff C. 1 C. DIFFERENTIAL DIAGNOSIS OF S NOTE: BOTH PRIMARY SYMPTOMS AND SYMPTOMS THAT ARE SUBSTANCE-INDUCED OR DUE TO A GENERAL MEDICAL CONDITION

More information

Bipolar disorders: Changes from DSM IV TR to DSM 5

Bipolar disorders: Changes from DSM IV TR to DSM 5 Bipolar disorders: Changes from DSM IV TR to DSM 5 M. Amin Esmaeili, MD, MPH Iranian Research Center for HIV/AIDS (IRCHA) Iranian National Center for Addiction Studies (INCAS) Mood disorders committee

More information

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late

More information

Behavioral Health Diagnoses Not Subject to Visit Limits for Most HMSA Plans

Behavioral Health Diagnoses Not Subject to Visit Limits for Most HMSA Plans Behavioral Health Diagnoses Not Subject to Visit Limits for Most HMSA Plans ICD-9 295.10 Schizophrenia, disorganized type 295.11 N/A Disorganized type schizophrenia, state Disorganized type schizophrenia,

More information

Bipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.

Bipolar Disorder. When people with bipolar disorder feel very happy and up, they are also much more active than usual. This is called mania. Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

More information

ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW

ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW A/Professor Alasdair Vance Head, Academic Child Psychiatry Department of Paediatrics University of Melbourne Telephone: 9345 4666 Facsimile: 9345 6002 Email:

More information

Dementia in other diseases classified elsewhere with behavioral disturbance

Dementia in other diseases classified elsewhere with behavioral disturbance MDC19 Mental Diseases & Disorders Assignment of Diagnosis Codes F0150 F0151 F0280 F0281 F0390 F0391 F04 F05 F060 F061 F062 F0630 F0631 F0632 F0633 F0634 F064 F068 F070 F079 F09 F200 F201 F202 F203 F205

More information

Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder

Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder AACAP Official Action: OUTLINE OF PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN, ADOLESCENTS, AND ADULTS WITH ADHD

More information

BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS

BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems

More information

B i p o l a r D i s o r d e r

B i p o l a r D i s o r d e r B i p o l a r D i s o r d e r Professor Ian Jones Director National Centre for Mental Health www.ncmh.info @ncmh_wales /WalesMentalHealth 029 2074 4392 info@ncmh.info Robert Schumann 1810-1856 Schumann's

More information

Exploring and Understanding DSM-5. Neal Adams, MD, MPH, Deputy Director, CiMH Victor Kogler, Executive Director, ADPI

Exploring and Understanding DSM-5. Neal Adams, MD, MPH, Deputy Director, CiMH Victor Kogler, Executive Director, ADPI Exploring and Understanding DSM-5 Neal Adams, MD, MPH, Deputy Director, CiMH Victor Kogler, Executive Director, ADPI 1 Disclosure Information Exploring and Understanding: DSM-5 Neal Adams, MD, MPH Victor

More information

WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL

WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL General Guidelines for Treatment of Compensable Injuries Patient must have a diagnosed mental illness as defined by DSM-5

More information

Fact Sheet 10 DSM-5 and Autism Spectrum Disorder

Fact Sheet 10 DSM-5 and Autism Spectrum Disorder Fact Sheet 10 DSM-5 and Autism Spectrum Disorder A diagnosis of autism is made on the basis of observed behaviour. There are no blood tests, no single defining symptom and no physical characteristics that

More information

Behavioral Health ICD-9

Behavioral Health ICD-9 Behavioral Health ICD-9 Commonly used billable codes: ICD-9 Code ICD-9 Descriptor 293.83 Mood disorder in conditions classified elsewhere 293.84 Anxiety disorder in conditions classified elsewhere 293.89

More information

Criteria to Identify Abnormal Behavior

Criteria to Identify Abnormal Behavior Criteria to Identify Abnormal Behavior Unusualness Social deviance Emotional distress Maladaptive behavior Dangerousness Faulty perceptions or interpretations of reality Hallucinations Delusions Copyright

More information

Chapter 4: Eligibility Categories

Chapter 4: Eligibility Categories 23 Chapter 4: Eligibility Categories In this chapter you will: learn the different special education categories 24 IDEA lists different disability categories under which children may be eligible for services.

More information

DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS

DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS Current Procedural Terminology (CPT ) (Procedure) Codes Initial assessment usually involves a lot of time determining the differential diagnosis,

More information

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D.

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. GOALS Learn DSM 5 criteria for DMDD Understand the theoretical background of DMDD Discuss background, pathophysiology and treatment

More information

Autism Spectrum Disorder in DSM-5. Brian Reichow reichow@uchc.edu

Autism Spectrum Disorder in DSM-5. Brian Reichow reichow@uchc.edu Autism Spectrum Disorder in DSM-5 Brian Reichow reichow@uchc.edu Disclosure / Conflict of Interest Have no conflict of interest with any portion of today s talk. -Do receive royalties from lectures and

More information

Highlights of Changes from DSM-IV-TR to DSM-5

Highlights of Changes from DSM-IV-TR to DSM-5 Highlights of Changes from DSM-IV-TR to DSM-5 Changes made to the DSM-5 diagnostic criteria and texts are outlined in this chapter in the same order in which they appear in the DSM-5 classification. This

More information

Planning Services for Persons with Developmental Disabilities and Mental Health Diagnoses

Planning Services for Persons with Developmental Disabilities and Mental Health Diagnoses Planning Services for Persons with Developmental Disabilities and Mental Health Diagnoses Persons with Intellectual Disabilities (ID) have mental disorders three to four times more frequently than do persons

More information

MCPS Special Education Parent Summit

MCPS Special Education Parent Summit MCPS Special Education Parent Summit May 17, 2014 Rockville High School 2100 Baltimore Road Rockville, MD 20851 When ADHD Is Not ADHD: ADHD Look-Alikes and Co-occurring Disorders David W. Holdefer MCPS

More information

Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome

Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome Dr. May Lam Assistant Professor, Department of Psychiatry, The University of Hong Kong Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome a mental state in

More information

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[KQ 804] FEBRUARY 2007 Sub. Code: 9105 [KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A

More information

DSM-5 Table of Contents

DSM-5 Table of Contents DSM-5 Table of Contents DSM-5 Classification Preface Section I: DSM-5 Basics Introduction Use of the Manual Cautionary Statement for Forensic Use of DSM-5 Section II: Diagnostic Criteria and Codes Neurodevelopmental

More information

2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS

2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS 2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS Listed below are the most commonly used codes applicable to FASD patient care. Code Description ICD-10-CM Primary Diagnosis P04.3 Newborn (suspected to

More information

DSM-5 and its use by chemical dependency professionals

DSM-5 and its use by chemical dependency professionals + DSM-5 and its use by chemical dependency professionals Greg Bauer Executive Director Alpine Recovery Services Inc. President Chemical Dependency Professionals Washington State (CDPWS) NAADAC 2014 Annual

More information

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999 Feeling Moody? Is it just a bad mood or is it a disorder? Major Depressive Disorder Prevalence: 7%; 18-29 years old; Female>Male DDx: Manic episodes with irritable mood or mixed episodes, mood disorder

More information

Bipolar and related disorders and depressive disorders in DSM-5

Bipolar and related disorders and depressive disorders in DSM-5 Should be cited as: Psychiatr. Pol. 2014; 48(2): 245 260 PL ISSN 0033-2674 www.psychiatriapolska.pl Bipolar and related disorders and depressive disorders in DSM-5 Dorota Łojko, Aleksandra Suwalska, Janusz

More information

Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (APA, 2001) 10

Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (APA, 2001) 10 5. Diagnosis Questions to be answered: 5.1. What are the diagnostic criteria for ADHD in children and adolescents? 5.2. How is ADHD diagnosed in children and adolescents? Who must diagnose it? 5.3. Which

More information

Indiana Association for Infant and Toddler Mental Health DC 0-3 R Crosswalk to DSM and ICD Systems

Indiana Association for Infant and Toddler Mental Health DC 0-3 R Crosswalk to DSM and ICD Systems Indiana Association for Infant and Toddler Mental Health DC 0-3 R Crosswalk to DSM and ICD Systems Although the benefits of early identification and treatment of developmental and behavioral problems are

More information

Highlights of Changes from DSM-IV-TR to DSM-5

Highlights of Changes from DSM-IV-TR to DSM-5 Highlights of Changes from DSM-IV-TR to DSM-5 Changes made to the DSM-5 diagnostic criteria and texts are outlined in this chapter in the same order in which they appear in the DSM-5 classification. This

More information

Highlights of Changes from DSM-IV-TR to DSM-5

Highlights of Changes from DSM-IV-TR to DSM-5 Highlights of Changes from DSM-IV-TR to DSM-5 Changes made to the DSM-5 diagnostic criteria and texts are outlined in this chapter in the same order in which they appear in the DSM-5 classification. This

More information

DISABILITY-RELATED DEFINITIONS

DISABILITY-RELATED DEFINITIONS DISABILITY-RELATED DEFINITIONS 1. The Americans with Disabilities Act (ADA) of 1990 is a civil rights law, which makes it unlawful to discriminate on the basis of disability. It covers employment in the

More information

MENTAL DISORDERS ORGANIC PSYCHOTIC CONDITIONS (290 294.9)

MENTAL DISORDERS ORGANIC PSYCHOTIC CONDITIONS (290 294.9) MENTAL DISORDERS ORGANIC PSYCHOTIC CONDITIONS (290 294.9) 290 SENILE AND PRESENILE ORGANIC PSYCHOTIC CONDITIONS 290.0 SENILE DEMENTIA, SIMPLE TYPE 290.1 PRESENILE DEMENTIA 290.2 SENILE DEMENTIA, DEPRESSED

More information

Co-Occurring Disorders

Co-Occurring Disorders Co-Occurring Disorders PACCT 2011 CAROLYN FRANZEN Learning Objectives List common examples of mental health problems associated with substance abuse disorders Describe risk factors that contribute to the

More information

The Thirteen Special Education Classifications. Part 200 Regulations of the Commissioner of Education, Section 4401(1)

The Thirteen Special Education Classifications. Part 200 Regulations of the Commissioner of Education, Section 4401(1) The Thirteen Special Education Classifications Part 200 Regulations of the Commissioner of Education, Section 4401(1) Student With a Disability: A student as defined in section 4401(1), who has not attained

More information

Children s Community Health Plan INTENSIVE IN-HOME MENTAL HEALTH / SUBSTANCE ABUSE SERVICES ASSESSMENT AND RECOVERY / TREATMENT PLAN ATTACHMENT

Children s Community Health Plan INTENSIVE IN-HOME MENTAL HEALTH / SUBSTANCE ABUSE SERVICES ASSESSMENT AND RECOVERY / TREATMENT PLAN ATTACHMENT Children s Community Health Plan INTENSIVE IN-HOME MENTAL HEALTH / SUBSTANCE ABUSE SERVICES ASSESSMENT AND RECOVERY / TREATMENT PLAN ATTACHMENT Please fax with CCHP prior authorization form to 608-252-0853

More information

DIAGNOSIS CODE SET CROSSWALK FOR DC:0-3R TO ICD-9-CM

DIAGNOSIS CODE SET CROSSWALK FOR DC:0-3R TO ICD-9-CM DIAGNOSIS SET CROSSWALK FOR TO -CM DESCRIPTION 15 I 100 Posttraumatic Stress Disorder 309.81 17 I 150 19 I 200 19 I 210 20 I 220 Deprivation/Maltreatment Disorder 313.89 Disorders of Affect (see 210-240)

More information

Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents

Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents These Guidelines are based in part on the following: American Academy of Child and Adolescent Psychiatry s Practice Parameter for the Assessment and Treatment of Children and Adolescents With Bipolar Disorder,

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Therapeutic group care services are community-based, psychiatric residential treatment

More information

Tourette syndrome and co-morbidity

Tourette syndrome and co-morbidity Tourette syndrome and co-morbidity Nanette M.M. Mol Debes, M.D., Ph.D. Tourette clinic, Herlev University Hospital, Denmark Outline of presentation Research project Herlev University Hospital Denmark Prevalence

More information

DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS

DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS Current Procedural Terminology (CPT ) (Procedure) Codes Initial assessment usually involves a lot of time determining the differential diagnosis,

More information